Dietary Advice for Crohn's Disease

Dietary Advice for Crohn's Disease

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NDR-UK Ref No: 9305
Publication Format: A5 leaflet
Classification: HP  
Pack size: 10
Publication date: 06/12
Last Review: 2018
Next Review: 2021

Information on symptoms and appropriate dietary choices for people with Crohn's disease during active or remission stages. Designed for use by adults in consultation with their IBD team.

Classification: HP (Health Professional)

Advice requires some explanation from a Health Professional who has basic nutrition knowledge to enable correct implementation.

  • To ensure nutritional adequacy and provide an overview of potential nutritional support requirements
  • To dispel myths
  • To educate patients on nutritional aspects of Crohn's Disease
  • Target Group will be able to define Crohn's Disease.
  • Target Group will be able to define a stricture.
  • Target Group will be aware of the role of diet in managing Crohn's Disease and the importance of healthy eating and following the guidance provided via the eatwell plate, and apply this to everyday life.
  • Target Group will be aware of specific nutrient deficiencies, risk factors (e.g. steroid use and calcium deficiency) and be able to apply this knowledge to appropriately manage these.
  • Target Group understand their risk of under nutrition and be able to apply guidelines to consume appropriately high energy, high protein foods/drinks (nb risks of high-fat foods).
  • Target Group will be aware of common micronutrient deficiencies and their symptoms.
  • Target Group will be aware of, and able to apply techniques to maximise nutritional adequacy, including:
    - Oral nutritional supplements
    - Methods to improve appetite
    - Food fortification
    - Dietary restrictions including enteral diet
    - Discussing weight with doctor
  • To be aware of foods that may cause adverse effects.
  • Target Group will be aware of the role of pro/pre/synbiotics.
  • Target Group will be aware of the need for and role of allergy testing.
  • Target Group will be aware of how to manage their weight following drug/lifestyle weight gain.
  • Akoberg A.K., Elawad M. & Gordon M. (2016) 'Glutamine for induction of remission in Crohn's Disease'; Cochrane Database of Systematic Reviews, Issue 2

  • Anderson J.L. et al (2015) ‘Dietary intake of inulin-type fructans in active and inactive Crohn’s disease and healthy controls: a case-control study’, Journal of Crohn’s & Colitis; 9(11): 1024-1031

  • Bemelman W.A. et al (2018) 'ECCO-ECSP Consensus on Surgery for Crohn's Disease', Journal of Crohn's & Colitis; 12(1): 1-16

  • Cox S.R. et al (2017) ‘Fermentable carbohydrates (FODMAPs) exacerbate functional gastrointestinal symptoms in patients with inflammatory bowel disease: a randomised, double-blind, placebo-controlled, cross-over, re-challenge trial’, Journal of Crohn’s & Colitis; 2017; 11(12): 1420-1429

  • Derwa Y. et al (2017) 'Systematic review with meta?analysis: efficacy of probiotics in inflammatory bowel disease', Alimentary Pharmacology & Therapeutics; 46(4): 389–400

  • El-Matory W. et al (2017) 'Enteral Feeding Therapy for Maintaining Remission in Crohn's Disease: a Systematic Review', Journal of Parenteral & Enteral Nutrition; 41(4): 550-561

  • Forbes A. et al (2017) ‘ESPEN guideline: Clinical nutrition in inflammatory bowel disease', Clinical Nutrition; 36(2): 321-347
    Gastroenterological Society of Australia (2017 - DRAFT) ‘Guidelines for General Practitioners and Physicians – Inflammatory Bowel Disease’, 4th Ed. Available at:

  • Gomollón F. et al (2017) '3rd European evidence-based consensus on the diagnosis and management of Crohn's Disease 2016: Part 1: Diagnosis and Medical Management', Journal of Crohn's & Colitis, 11(1): 3-25

  • Guo Z. et al (2016) 'Preoperative Nutritional Therapy Reduces the Risk of Anastomotic Leakage in Patients with Crohn's Disease Requiring Resections', Gastroenterology Research & Practice; 2016: 1-8

  • Heerasing N. et al (2017) 'Exclusive enteral nutrition provides an effective bridge to safer interval elective surgery for adults with Crohn's disease', Alimentary Pharmacology & Therapeutics; 45(5): 660–669

  • Jabnoor S.M. & Forbes A. (2017) 'Effect of fat composition in Enteral Nutrition for Crohn's disease in adults: a systematic review’, Clinical Nutrition; (e-pub Dec 28 2017)

  • Narula N. et al (2018) 'Enteral nutrition therapy for induction of remission in Crohn's Disease', Cochrane Database of Systematic Reviews (e-pub)

  • National Institute for Health and Care Excellence (2012) ‘Crohn’s disease: management’, NICE Guideline (CG152). Last updated May 2016. Available at:

  • Prince A. et al (2016) ‘Fermentable carbohydrate restriction (low FODMAP diet) in clinical practice improves functional gastrointestinal symptoms in patients with inflammatory bowel disease’ Inflammatory Bowel Disease; 22(5): 1129-1136

Starter Plan for Liquid Diets (Crohn's range)

Starter Plan for Liquid Diets (Crohn's range)

Freely downloadable template to note suggested volumes/quantities of liquid diet. The plan can accommodate powdered or carton liquid diet options with space for notes and preparation instructions.

  • Classification: HP
  • NDR-UK ref: 9309

Price per pack

Diet and Your Colostomy

Diet and Your Colostomy

Information on what a colostomy is and how to enjoy food following surgery.

  • Pack size: 10
  • Classification: HP
  • NDR-UK ref: 9042

Price per pack

Elimination Diet

Elimination Diet

A comprehensive and step by step guide for people with a suspected food allergy/intolerance advised to undergo an elimination programme to identify food and drinks that cause symptoms.

  • Pack size: 5
  • Classification: DT
  • NDR-UK ref: 9380

Price per pack